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First, let me apologize for the cottage remark. I'm sorry. I came across the term in an article and sensed it was derogatory, but I really wasn't sure. Curious as to its meaning I used it in a post wondering if it would initiate a response, and I made sure to direct the word at myself and not others. I’d like to explain where I got the word, my interpretation of it, and how it relates to my own fears or misgivings in starting a medical billing company.

 AM J Orthop. 2007;36(3):158-161.

Jennifer O’Brien, a consultant with KarenZupko & Associates, wrote a practical article for physicians describing specific questions to ask outsourcing billing companies prior to taking on their services. The list of questions is thorough and well thought out. Many of the questions were new to me; moreover, many were over my head.

At the beginning of the article she paints a picture of a doctor all flustered with an invoice from his biller in his hand flailing it back and forth above his head. The doctor is complaining and trying to figure out why the biller waited so long to file a claim. At this point the author cuts in, “This doctor had chosen a cottage billing company…” As a reader my reaction was, “Oh Please! Even I know a biller has to file claims every day, and couldn’t the author have painted a less contrived picture?”

In this article a cottage billing company might be construed as an inexperienced beginner, or an inattentive entrepreneur, or both. In an attempt to give people the benefit of the doubt I have to assume it’s the former. As a beginner I know I am going to make mistakes, but I am quick to catch them and learn from them. I like Tammy Harlan’s approach which is “fake it till you make it”. 

So are you the author?

I'm glad you explained the "cottage biller" but I was probably over-sensitive on the issue. A long while back a VERY large Association referred to some medical billing companies (implying small time) "Kitchen Table Billers" and not just once but several times used in various publications, articles, forums, etc. Needless to say that was a few years ago but it left a terrible taste in my mouth. 

I think your article overall was very good you raised a point I don't think many of us have thought of.


--- Quote from: ste on August 04, 2009, 06:45:40 PM --- I like Tammy Harlan’s approach which is “fake it till you make it”. 

--- End quote ---
That motto is the reason why so many physicians are burned by billing services. Why do people want to get in this business with no experience totally sickens me. Yes it is my PET PEEVE. We always speak about all the rules and all the liabilities and Hipaa and OIG, but we have the flippant attitude of "fake it til you make it'. All I can say is please let me know who you bill for so I can clean up!!!

~~~ Although I still stand by my opinion, a good friend said I may have taken it out of context so.........if that's the case, I always extend apologies. If not, I toss down my hanky in the fair game of intellectual battle of difference in opinions!!! ;D


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